Mail-In Application

Step 1: Complete the application using one of the following:

  1. Use the Form below:
    • TYPE the application information below.
    • PRESS the [Format for Printing] Button at the bottom of the form to display a copy of the completed form. The computer will display a completed copy of the form.
    • PRINT the form, after the form is displayed, by selecting Print button at the top right hand corner of the document or use the print option from your browser menu.
    • Closing the window clears all information.
  2. Print a Blank Form to be completed in ink.

Step 2: Send the completed form with your opening deposit PAYABLE TO: AMBOY NATIONAL BANK

Amboy Bank
3590 U.S. Highway 9, South
Old Bridge, NJ 08857

Step 3: You will receive a Welcome Kit in 5-7 days with information confirming your deposit and on how to use your account.
              Call 1-877- 22AMBOY with any questions.

Money Market Maximizer Application

Primary Applicant Information
*Required Information    
Name:
*First Name: Initial: *Last Name:
*Address: (cannot be a P.O. Box)
Address (line 2):
*City:   *State:   *Zip:
*Phone - Home: (xxx-xxx-xxxx) Best Time to call:
Phone - Business: - ext. Best Time to call:
*Email Address:
*Birth Date: MM/DD/YY  
*SSN#:
*Mother's Maiden Name:
*Driver's License Number: *State: *Expires:

Co-Applicant Information
(complete if you wish a joint account)
*Required Information    
Name:
*First Name: Initial: *Last Name:
*Address: (cannot be a P.O. Box)
Address (line 2):
*City:   *State:   *Zip:
*Phone - Home:( (xxx-xxx-xxxx) Best Time to call:
Phone - Business: - ext. Best Time to call:
*Email Address:
*Birth Date: MM/DD/YY  
*SSN#:
*Mother's Maiden Name:
*Driver's License Number: *State: *Expires:

Other Information
*Funding Your Account: Opening Deposit Amount
$ Please do not send cash.
(Please use a personal check payable to yourself or Amboy Bank. )
 

Account Access Options:
There are three ways you can access your account. You may select one or more options by completing the requested information.
Note: if no options are selected, personal checks will be the only way to access your funds.

Amboy Direct Internet Banking - Create a Password
Must be 4-6 numbers only.
You may view your account and make transfers online.
Amboy 24 Telephone Banking
Get balance information and make transfers by phone using Amboy 24 service. Access Amboy 24 using your Amboy Direct Banking Password entered above.
Me-to-Me Personal Checks - To Order Checks
Make withdrawals to be deposited at current bank.
 

Automatic Savings Options:
Please complete all three if you wish to have money regularly deposited into your Maximizer account transferred from your linked account.

 1. Amount
$ You authorize this amount to be transferred regularly.
2. Frequency
Weekly    Bi-weekly    Monthly  
3. Start Date
(dd/mm/yy).
 
  Enter promotion reference code if you are responding to a promotion.
Reference Code:
 

Disclaimer: Please read and agree to the following before submitting the application

By signing this form, I (We) authorize Amboy Bank to use the above information to verify my identity, which may include obtaining a copy of my credit report, before opening any account. I (We) acknowledge that I (We) have access to and agree to electronically accept the disclosure titled Terms and Conditions and Amboy Direct Money Market Maximizer Disclosure Statement. Amboy Bank has the right to revoke or refuse access to Amboy Direct at any time without cause or notice.

Taxpayer Identification Number Certification
Under Penalties of perjury, the above Accountholder(s) certify that:
  1. My Social Security Number is correct.
  2. Under provisions of the Internal Revenue Code:
    I am (We are) not subject to backup withholding.
    I am (We are) subject to backup withholding.

Signature: _________________________     Date: ___/___/___

Signature(Co-applicant): _________________________     Date: ___/___/___

Copyright 2005 Amboy Bank. All Rights Reserved.